Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2

Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2 Methods: In this re...

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Autores principales:	Elizabeth M. Goldberg, Kohei Hasegawa, Alexis Lawrence, Jeffrey A. Kline, Carlos A. Camargo Jr
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/0a75ea32b6b046d485f469071f402fa8
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spelling	oai:doaj.org-article:0a75ea32b6b046d485f469071f402fa82021-11-17T15:19:27ZViral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-21936-901810.5811/westjem.2021.8.53590https://doaj.org/article/0a75ea32b6b046d485f469071f402fa82021-09-01T00:00:00Zhttps://escholarship.org/uc/item/9wv508trhttps://doaj.org/toc/1936-9018Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2 Methods: In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression. Results: Of 6,913 ED patients, 5.7% had coinfection. Coinfected individuals were less likely to experience index visit or 30-day hospitalization (odds ratio [OR] 0.57; 95% confidence interval [CI], 0.36–0.90 and OR 0.39; 95% CI, 0.25–0.62, respectively). Conclusion: Coinfection is relatively uncommon in symptomatic ED patients with SARS-CoV-2 and the clinical short- and long-term outcomes are more favorable in coinfected individuals.Elizabeth M. GoldbergKohei HasegawaAlexis LawrenceJeffrey A. KlineCarlos A. Camargo JreScholarship Publishing, University of CaliforniaarticleMedicineRMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENWestern Journal of Emergency Medicine, Vol 22, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Elizabeth M. Goldberg Kohei Hasegawa Alexis Lawrence Jeffrey A. Kline Carlos A. Camargo Jr Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
description	Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2 Methods: In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression. Results: Of 6,913 ED patients, 5.7% had coinfection. Coinfected individuals were less likely to experience index visit or 30-day hospitalization (odds ratio [OR] 0.57; 95% confidence interval [CI], 0.36–0.90 and OR 0.39; 95% CI, 0.25–0.62, respectively). Conclusion: Coinfection is relatively uncommon in symptomatic ED patients with SARS-CoV-2 and the clinical short- and long-term outcomes are more favorable in coinfected individuals.
format	article
author	Elizabeth M. Goldberg Kohei Hasegawa Alexis Lawrence Jeffrey A. Kline Carlos A. Camargo Jr
author_facet	Elizabeth M. Goldberg Kohei Hasegawa Alexis Lawrence Jeffrey A. Kline Carlos A. Camargo Jr
author_sort	Elizabeth M. Goldberg
title	Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
title_short	Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
title_full	Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
title_fullStr	Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
title_full_unstemmed	Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2
title_sort	viral coinfection is associated with improved outcomes in emergency department patients with sars-cov-2
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/0a75ea32b6b046d485f469071f402fa8
work_keys_str_mv	AT elizabethmgoldberg viralcoinfectionisassociatedwithimprovedoutcomesinemergencydepartmentpatientswithsarscov2 AT koheihasegawa viralcoinfectionisassociatedwithimprovedoutcomesinemergencydepartmentpatientswithsarscov2 AT alexislawrence viralcoinfectionisassociatedwithimprovedoutcomesinemergencydepartmentpatientswithsarscov2 AT jeffreyakline viralcoinfectionisassociatedwithimprovedoutcomesinemergencydepartmentpatientswithsarscov2 AT carlosacamargojr viralcoinfectionisassociatedwithimprovedoutcomesinemergencydepartmentpatientswithsarscov2
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Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2

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